249J.18 - CLINICIANS ADVISORY PANEL -- CLINICAL MANAGEMENT.
249J.18 CLINICIANS ADVISORY PANEL -- CLINICAL
MANAGEMENT.
1. Beginning July 1, 2005, the medical director of the Iowa
Medicaid enterprise, with the approval of the administrator of the
division of medical services of the department, shall assemble and
act as chairperson for a clinicians advisory panel to recommend to
the department clinically appropriate health care utilization
management and coverage decisions for the medical assistance program
and the expansion population which are not otherwise addressed by the
Iowa medical assistance drug utilization review commission created
pursuant to section 249A.24 or the medical assistance pharmaceutical
and therapeutics committee established pursuant to section 249A.20A.
The meetings shall be conducted in accordance with chapter 21 and
shall be open to the public except to the extent necessary to prevent
the disclosure of confidential medical information.
2. The medical director of the Iowa Medicaid enterprise shall
report on a quarterly basis to the medical assistance projections and
assessment council established pursuant to section 249J.20 and the
medical assistance advisory council created pursuant to section
249A.4B, any recommendations made by the panel and adopted by rule of
the department pursuant to chapter 17A regarding clinically
appropriate health care utilization management and coverage under the
medical assistance program and the expansion population.
3. The medical director of the Iowa Medicaid enterprise shall
prepare an annual report summarizing the recommendations made by the
panel and adopted by rule of the department regarding clinically
appropriate health care utilization management and coverage under the
medical assistance program and the expansion population. Section History: Recent Form
2005 Acts, ch 167, §19, 66; 2006 Acts, ch 1030, §30
Referred to in § 249J.9